Gallstone ileus: an unfortunate complication after endoscopic biliary drainage

Dinesh Baithma Jothi and Dexter Lai Zen Ran and Sanjeev Sandrasecra and Firdaus Hayati (2020) Gallstone ileus: an unfortunate complication after endoscopic biliary drainage. Open Access Macedonian Journal of Medical Sciences, 13 (8). pp. 164-166. ISSN 1857-9655

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Abstract

Gallstone ileus is a misnomer of intestinal obstruction. This rare entity of gallstone disease happens after episodes of acute cholecystitis, Mirizzi’s syndrome, or even after endoscopic intervention. A 17-year-old lady with acute cholecystitis, hepatolithiasis, and choledocholithiasis was endoscopically managed through endoscopic retrograde cholangiopancreatography. She was initially well but complicated with intestinal obstruction the next day. The abdominal radiograph and computed tomography showed a dilated small bowel secondary to gallstone ileus. An emergency laparotomy was performed to relieve the obstruction. Gallstone ileus is a rare cause of intestinal obstruction. It must be suspected in a patient with underlying gallstone disease, especially after an endoscopic biliary intervention. Emergency enterotomy and stone extraction are the imperative surgical intervention if the stone is not able to pass out spontaneously.

Item Type: Article
Uncontrolled Keywords: Acute cholecystitis , Choledocholithiasis , Endoscopic retrograde cholangiopancreatography , Gallstones , Intestinal obstruction
Subjects: Q Science > QM Human anatomy
R Medicine > R Medicine (General)
Divisions: FACULTY > Faculty of Medicine and Health Sciences
Depositing User: DG MASNIAH AHMAD -
Date Deposited: 14 Jun 2021 13:28
Last Modified: 14 Jun 2021 13:28
URI: http://eprints.ums.edu.my/id/eprint/27185

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